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Assessment of parodontal diseases in complex orthodontic treatment of dento-maxillary anomalies


Author: Avornic Lucia
Degree:doctor of medicine
Speciality: 14.00.21 - Stomatology
Year:2009
Scientific adviser: Pavel Godoroja (decedat)
doctor habilitat, professor, Nicolae Testemitanu State University of Medicine and Pharmacy of the Republic of Moldova
Institution:
Scientific council:

Status

The thesis was presented on the 5 November, 2008
Approved by NCAA on the 22 January, 2009

Abstract

Adobe PDF document – 0.29 Mb / in romanian

Thesis

CZU 616.314-007-089.23+616.311.2-002-08+616.314.17-008.1-089.23

Adobe PDF document 7.02 Mb / in romanian
147 pages

Keywords

Dento-maxillary anomalies, periodontal disease, complex orthodontic treatment, fixed appliances, straight-wire technique, removable appliances, oral hygiene, clinical parameters of evaluation on the periodontal status.

Summary

The purpose of the work was to monitor and improve the condition of the parodontum in case of dento-maxillary anomalies through carrying on a complex medicamentary orthodontic treatment. The study comprised 82 patients with different dento-maxillary anomalies, with average age of 13,98 ± 0,38 years and with the pitch between 8 and 22 years.

The investigation algorithm of the patients included: estimation in dynamics of the mouth hygiene – OHI-S index (G.Green, I.Vermillion, 1964); photographic exam; mode study; assessment of parodontal pre-, intra-, posttreatment orthodontic diseases through clinical endooral exam; determining of Parma gingivitis index (1960), index of papillary hemorrhage Mühlemann (1971); radiological orthodontic pre- and posttreatment exam; cytologic exam of the gum epithelium.

There were diagnosed parodontal diseases in 64 patients (78,05%) with dentomaxillary anomalies, while 18 patients (21,95%) had a healthy parodontum.

The orthodontic treatment was carried out with modern fixed appliances with slot .022" brackets, Straight-wire technique, Roth prescription with elements of individualisation – in 36 patients (43,9%) and with removable appliances (palatinal and lingual orthodontic plates) with mechanical and functional action – in 46 patients (56,1%). The parodontal therapy included topical administration of BioR medicine 0,1% gel in group I (of study), while in group II (of reference) – parodontal therapy with usual medicines (Григорьян А.С., Грудянов А.И., 2004).

The truthful obtaining of the posttreatment parodontal recovery presented different values depending on allegiance to the group – 73,8% patients in group I and 65,2% patients in group II and variety of the used orthodontic apparatus – in 80,8% patients treated with fixed appliances and 61,5% of those treated with removable appliances, this rendering supremacy to complex orthodontic treatment with fixed appliances.